Individual provider Active NPI

Rachel Lyn Johnson Thornton, M.D.

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1427194331
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P19043 Issued in MD
Practice address
4940 Eastern Ave BSMT
Johns Hopkins Bayview Medical Center, Pediatrics Dept
Baltimore, MD 21224-2735
Phone
(410) 550-0967
Fax
(410) 550-1276
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P19043 MD Primary

Addresses

Primary practice location

4940 Eastern Ave BSMT
Johns Hopkins Bayview Medical Center, Pediatrics Dept
Baltimore, MD 21224-2735

Mailing address

5200 Eastern Ave Ste 4200
Mason F. Lord Building, Center Tower
Baltimore, MD 21224-2739
Phone (410) 550-4226

Other names 1

  • Dr. Rachel Lyn Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070924000619 MD Practitioner - Pediatric Medicine 2769576511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P19043MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Oct 5, 2011 Accepting new patients
Johns Hopkins University Pediatrics CurrentSince Oct 5, 2011 Accepting new patients
Hospital Physician Services, LLLP Past Accepting new patients

Locations

4940 Eastern Ave
Bsmt
Baltimore, MD 21224
Phone (410) 550-0967

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

5200 Eastern Ave
Ste 4200
Baltimore, MD 21224

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1427194331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE STE 4200",
            "address_2": "MASON F. LORD BUILDING, CENTER TOWER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242739",
            "telephone_number": "410-550-4226",
            "fax_number": "410-550-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE BSMT",
            "address_2": "JOHNS HOPKINS BAYVIEW MEDICAL CENTER, PEDIATRICS DEPT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-0967",
            "fax_number": "410-550-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "RACHEL",
        "middle_name": "LYN JOHNSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "P19043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "JOHNSON",
            "middle_name": "LYN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.